Individual
CAROLYN RENEE COVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.,C.D.E.
Contact information
Practice address
100 MEDICAL CENTER BLVD, SUITE 105, LAWRENCEVILLE, GA 30045-3301
(678) 442-4117
Mailing address
11220 CROFTON OVERLOOK CT, DULUTH, GA 30097-1949
(770) 559-1659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003117
GA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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